PRODUCT REGISTRATION FORMand INSPECTION REPORT Box 760, 275 Hespler Ave, Winkler, Manitoba R6W 4A8 T: (800) 418-9461 P: (204) 325-4195 F: (204) 325-8116 www.meridianmfg.com Buyer's Name(Required) Address(Required) Street / Road Address City State Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required) Email(Required) Dealer Company Name(Required) Salesperson Name(Required) Dealer Township(Required) City Phone(Required) Model Number (eg. TL1039, HD1059)(Required) Serial Number(Required) Delivery Date(Required) DD slash MM slash YYYY General Purpose(Required) Private Commercial General Inspection(Required) All Safety Decals in place and legible Engine Pulley and Belt Guard fitted Pins & safety clips are in place ( two on main axle one at each end, one at hitch ) Truss cables are tensioned properly ( if applicable ) Paint scratches touched up (if required) Operators Manual included in manual holder Auger free from any type of grease/ hydraulic fluids leaks occurred during final setup Gearbox filled with oil and unit generally greased Lift Cables adequately secured Select AllMover Run-in Inspection Engine runs smoothly Hydraulic pump working Electric Clutch working Gearbox working Auger has been run at approx. half the normal Operating speed for about 15 minutes & checked for unusual noise & vibration Auger has been elevated, lowered and mover ran back & forth without any problems Belt not rubbing Pinion gear aligned with ring gear at wheel drive assembly Hydraulic system checked for leaks Select AllAfter Auger Run-In(Required) Mover is in transport mode and safety chain is hooked up Wheel drive motor is disengaged Hydraulic pump is disengaged Gearbox is disengaged CommentsThe Salesperson has thoroughly instructed me on the above described equipment. The review included the content of the Operator’s Manual, equipment care, adjustments, safe operation and warranty policy. The above equipment and Operator’s Manual have been received by me.Buyer's Name(Required) Date(Required) DD slash MM slash YYYY Buyer's Signature(Required)CommentsThis field is for validation purposes and should be left unchanged.